Be It Ever So Humble. Jeanne Cannon, RHIA, CPhT, CWPM Program Manager Montana Healthy Homes & Lead Poisoning Prevention Program

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1 Be It Ever So Humble Jeanne Cannon, RHIA, CPhT, CWPM Program Manager Montana Healthy Homes & Lead Poisoning Prevention Program

2 HHLPPP RFP The Grant Our Plan Ways to Help Background of HHLPPP

3 Applied for in March, 2011 Newly Funded Program September 1, 2011 Grant Period 3 years Funding: Year 1 - $491, Year 2-500, Year 3-500,000.00

4 Two distinct phases: Phase 1 Focuses on development of program Establish advisory committee Develop strategic plan Develop comprehensive needs assessment and protocol Implement data system Fund six sites Train sites (More Later ) Phase 2 Focuses on implementation of the strategic plan

5 Purpose of HHLPPP Reduce or eliminate housing-related health hazards Promote safe, affordable, accessible housing Address multiple hazards in homes Prevent housing-related diseases and/or injuries

6 CDC funded state and local health departments to support Childhood Lead Poisoning Prevention Programs (CLPPP) FY 2010, nearly $25 million allocated 2009 with Congressional acknowledgement, name changed to HHLPPP

7 HHLPPP to build on CLPPP to include: Interior Biologic Agents Dust mites Pests Mold Interior Chemical Agents Lead Pesticides Environmental Tobacco Smoke (ETS) Radon External Exposures Drinking Water Structural Deficiencies Home Safety Devices Smoke Detectors CO Monitors

8 Incorporate other home health risks Example Child with EBLL identified Assess for lead Other health hazards Refer out

9 2009 Call to Action to Promote Healthy Homes: Identifies specific features that constitute a healthy home Highlighted integrating strategies Highlighted need for research that links housing conditions with specific health outcomes 170 studies of housing interventions in four primary areas reviewed by expert panel

10 Call to Action Interventions determined for broad-scale implementation Lead hazard control Integrated pest management (IPM) Home-based asthma interventions Radon Smoke alarm installations Smoke-free rules at home

11 Healthy Homes approach Holistic and comprehensive Incorporates training and tools necessary: Environmental public health practitioners Public health nurses Housing specialists Others

12 Disparities in Healthy Homes: Certain groups more susceptible Age children and elderly Income and Ethnicity Low-income, minority populations Low-income households and older homes Geographical Location e.g. radon levels vary across the country

13 Six Overarching Goals Strategic Plan Primary Prevention Case Coordination/Plan of Care Strategic Partnerships Surveillance Policy

14 Strategic Plan Goals and Objectives Goal Along with partners, develop a Healthy Homes Strategic Plan for Montana Objectives Develop Strategic Plan by end of Phase 1 Develop six community-specific HH strategic plans (work with sites to develop)

15 Strategic Plan Advisory Group by end of Year 1 Convene an advisory group of diverse stakeholders to develop it Advisory group to meet at least quarterly Advisory group to consist of wide representation Community Health Housing weatherization Community members Voluntary and professional organizations Business Community Faith-based leaders Lay person representative of population to be served

16 Primary Prevention Goal Fund six local sites to implement the Healthy Homes Strategic Plan and provide the tools and training necessary to tailor interventions to local needs Objectives Fund six sites in MT to conduct HH in their community Six sites to conduct Extensive Needs Assessments and individual work plans created

17 Five Areas of Focus Lead Asthma Tobacco in Home/Vehicle Injury Prevention Integrated Pest Management

18 Case Coordination/Plan of Care Goal: Select evidence-based tools for home assessment, management, referral, and documentation Objectives Finalize assessment tool for home visits Establish community referral sources & ID barriers

19 Case Coordination / Plan of Care Protocol What we need to develop by end of Phase 1 (CDC) Comprehensive Plan for sites Eligibility Criteria Quality Assurance Plan of Care for medical conditions Referral Process Case Closure Criteria

20 Strategic Partnerships Goal: Establish and maintain partnership with a wide variety of health, housing and environmental stakeholders in MT to leverage resources and build capacity for healthy homes work in the state Objectives Establish MT HH Advisory Group Develop complete list referral agencies (for Ph-2) Hire Training Contractor

21 Strategic Partnerships Implement strategies for leveraging resources Create a capacity-building mechanism with partners

22 Surveillance Goal: Implement the Healthy Homes and Lead Poisoning Surveillance System (HHLPSS) in Montana Objective Obtain necessary software, hardware, and licenses for HHLPPS Select key indicators

23 Policy Goal: Assess and strengthen regulatory authorities related to healthy housing in Montana Objective Assess current regulatory authorities relevant to HH in MT CDC: Policy = Sustainability

24 Within the overall of the structure of the work plan, Phase 1 requires: Establishing an advisory committee Developing a strategic plan Develop a comprehensive needs assessment and protocol Implement the data system Fund six sites Conduct the training Get moving!!! At the end of PH1, CDC wants us ready to implement PH2 6 funded site to do HHLPPP home visits

25 Advisory Group Strategic Planning Lend Expertise and Referral Advisory Group Meeting Dates 10:00a.m. - 3:00p.m. February 2, 2012 May 17, 2012 July 19, 2012

26 Work Groups Case Coordination / Plan of Care Primary Prevention Policy

27 So what s the plan for the money to sites? Through RFP, fund six local sites to implement Home Visiting Program $50,000 per site Tentative date RFP Feb. 1, 2012 Who can apply (under development) ~County Health Departments ~Human Resource Development Council ~Local Health Departments Other entities possible

28 The RFP - What we know now: RFP under development Way to submit questions for applicants Once RFP out schedule call for sites to pose questions Sites will be required to show a compelling need Sites required to submit data to HHLPPP Training is required for awardees Essentials of Healthy Homes Training in Helena April 4-6, 2012 MSU Extension Training Date to be determined Sites required to participate in advisory coalition

29 RFP - still developing TBD Number of home-visits required per site Who can apply Only programs with history of referring? Only programs with established home-visiting programs? Only programs with Medicaid Provider number? Other items Data submission, etc.

30 QUESTIONS??? Thank-you! We appreciate your interest! Contact Info: Jeanne Cannon, RHIA, CPhT, CWPM Program Manager Healthy Homes & Lead Poisoning Prevention Program

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